NOTE! We have already received more applications than we have camper spots. If you have not sent in your application as of 3/18/2019 please know that you will be most likely be placed on our waitlist. Thank you for wanting to rock with us! Please apply next year.

2019 CAMPER APPLICATION

Name *

Name

First Name

Last Name

Camper Nickname or Preferred Name

At camp, campers are allowed to use preferred names or nicknames. If the applicant would like to have a name printed on their badge that is different from their legal name, you can let us know here. Otherwise you can leave this field blank.

Camper age on July 15th, 2019 *

Grade entering in Fall 2019 *

School attending in Fall 2019

Camper's Primary Address *

Camper's Primary Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary Caregiver/Main Contact Name *

Primary Caregiver/Main Contact Name

First Name

Last Name

Relationship to Camper *

Primary Caregiver/Main Contact Email *

*IMPORTANT!!!! This will be the main point of contact for RCGOKC. Information regarding camper status and camp updates will be sent to this email. We recommend changing your email settings to allow emails from rcgokc@gmail.com so they don't get sent to your SPAM folder.

Primary Caregiver/Main Contact Phone *

Primary Caregiver/Main Contact Phone

(###)

###

####

Secondary Contact Name

Secondary Contact Name

First Name

Last Name

Relationship to Camper

Secondary Contact Email *

Secondary Contact Phone *

Secondary Contact Phone

(###)

###

####

Is camper right handed or left handed? *

Right

Left

Camper's T-shirt size *

Campers will receive a camp shirt and a plain white shirt for our DIY Band Shirt workshop.

Which of the following racial groups come closest to identifying you? Check all that apply and use the other box to share any additional information.

We don't love checkboxes either but this helps us gather applicant information to help us with future grant writing.

Asian

Black/African

Caucasian

Hispanic/Latinx

Native American

Pacific Islander

Prefer not to answer

Other

Have you ever been to Rock & Roll Camp for Girls OKC? *

Please check all that apply.

No, I've never been a rock camper.

2015

2016

2017

2018

RETURN CAMPERS! What Rock Camp bands you have been in?

Please list years and what instrument you played.

Does applicant have a sibling who is also applying for camp? *

If yes, what is their name?

Instrument Choice

You will need your rocker present to help answer these questions.

What is the campers FIRST choice of instrument? *

What is the campers SECOND choice of instrument? *

What is the campers THIRD choice of instrument? *

Pick one.

How likely is this applicant willing to try new things?

How would you describe your child?

How likely is your child willing to express her thoughts, feelings and ideas to others (friends/non­ family)?

What is the camper’s experience, if any, with musical instruments or singing? Please name instruments and length of study.

No musical experience is necessary to rock out at camp!

Please tell us briefly, why do you want to send your child to this summer camp?

Medical Information

Does the camper have any known physical, psychological, behavioral or emotional conditions or issues that we need to be aware of in order to meet her needs and provide a supportive camp environment for everybody? Does the camper have any medical conditions or allergies?

If yes, please explain. All information will be kept confidential and shared only as needed to provide proper care.

Please share any additional information that you feel would be helpful for the RCGOKC staff and volunteers to know so they can help create the best experience possible.

Let us know if there are any significant circumstances or family situations affecting your camper that you would like to let us know about (for example: recent move or parents going through a divorce).

Financial Aid

If you are able to pay the full tuition of $350, do not fill out the financial aid questions.
We are a volunteer run, non profit organization and our funds are limited. We may not be able to grant every financial aid request. Financial aid typically goes to families that are low-income, have many dependents, or are facing other financial hardships. We do not grant financial aid because of a camper being enrolled in multiple summer camps, private school tuition or other situations involving elective activities.
We want RCGOKC to be accessible for all kids, and we ask that you only apply for financial aid if the camp is cost prohibitive and your child would be unable to attend otherwise.

Will you be requesting financial aid for the camper?

Would you like to make a donation towards the 2019 scholarship fund to help send girls to RCGOKC?

PLEASE HAVE THE CAMPER FILL OUT THIS PORTION . It’s fine to type for them but we’d like to get to know the applicant so make sure the responses are theirs. Each answer should be several sentences long or longer. Thanks!

Who are some of your favorite bands and musicians?

What issues in your community are you passionate about and why?

If you got two free tickets and you could go to any concert, who would you go see and who would you take with you?

What do you like the best about Oklahoma? AND If you could change anything about Oklahoma what would it be?

Tell us what you like about yourself!

If a hot pink genie came riding in on a unicorn to grant you three wishes what would you wish for?

Why do you want to come to Rock n’ Roll Camp for Girls OKC this summer?

Tell us something awesome about you!

If you were a superhero what would your superpower be and why?

Tell us three words that describe you best.

TEEN INTERN PROGRAM!

RCGOKC has a camper intern program for 16 & 17 year old girls who are interested in taking on a bigger role at rock camp. Teen intern applicants must be 16 or 17 years old, been a RCGOKC camper for 2+ years, be proficient in their instrument and show positive role modeling. Teen Interns will have their own band and participate in the Camper Showcase as well as take on a larger leadership role, helping with workshops and playing the camp song at assemblies. Teen Interns will be rewarded a full scholarship to 2019 camp. Please only apply if you meet the requirements.

Are you applying for the TEEN INTERN PROGRAM? *

Only open to 16-17 year old with 2+ years of RCGOKC camp experience and who are proficient in their instrument.

YES

NO (you can skip the rest of this section)

What instrument(s) do you play?

GUITAR

BASS

DRUMS

KEYS

VOCALS

OTHER

If you chose "other" what other instruments do you play?

Tell us about a positive role model in your life.

Why is it important to you to be a positive role model and camp intern?

What do you want to be when you "grow up"?

Have you ever played in a band outside of camp? Tell us about it!

Liability Release and Media Consent

I understand that attending camp will involve activities such as, but not limited to, a loud environment, self-defense, active group games, using electrical equipment and moving heavy equipment and objects. I fully accept and assume all such risks and all responsibility for losses, costs and damages that may incur as a result of the camper's participation in camp activities. I hereby hold Rock 'n' Roll Camp for Girls OKC, SixTwelve Inc. and Spark LLC (and it's board members) harmless for any liability and the above stated. *

YES

NO

In case of emergency, accident, illness, or other incapacity occuring while under the Camp's authority, I give my permission to be treated by medical professionals and admitted to the hospital if necessary. This authorization applies whether or not the charges are covered by my insurance, and I am responsible for all reasonable medical and emergency expenses. *

YES

NO

I authorize Rock 'n' Roll Camp for Girls staff/volunteers to take audio, video and photographic recordings of me. Rock 'n' Roll Camp for Girls OKC shall own all rights to recordings and photographs, to be used and disposed of at the discretion of Rock 'n' Roll Camp for Girls OKC. *

YES

NO

DIGITAL SIGNATURE: Please sign this form by typing your legal name. *

Thank you for applying and we hope to rock with you this summer! You will be notified via email of your camper’s acceptance or wait list status. YOU ARE AWESOME!